HomeMy WebLinkAboutPermit Building 2004-1-26
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1583 1ST ST
ASSESSOR'S PARCEL NO.: 1703263200300
CITY OF SPRINGFIELD'
Building/Combina.tion Permit
PERMIT NO: COM2003-01125
ISSUED: 01/26/2004
APPLIED: 11/06/2003
EXPIRES: 07/26/2004
VALUE: $ 138,000.00
Springfield TYPE OF WORK: Duplex
TYPE OF USE:
PROJECT DESCRIPTION: and 1591 1st St - ADA interior remodel of duplex
Owner: HOUSING AUTH & URBAN REN AGY OF LAN
Address: 177 DAY ISLAND RD EUGENE OR 97401
Remodel
Residential
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
MALLARD CONSTRUCTION & DEV
KIDD ELECTRIC INC
MALLARD CONSTRUCTION & DEV
FRANK ROMERO
License
88420
154009
88420
40892
Expiration Date
01/21/2005
01/2712005
01/21/2005
12120/2005
Phone
541-367-1641
541-942-1352
541-367-1641
541-935-3263
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solaf Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
N01\Ce:. PIRE IF THE WORK
THIS PERMIT SHA~~E:HIS PERMIT IS NOT
AU1HORIZED UON~IS ABANDONED fOR
COMMENCED .
ANY 180 DAY PERIOD.
Pa!!e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
ATTENTION:Oregon laW reqUires you. ~o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001.
0090. You may obtain copies of the rules b~
calling the center. (Note: the telepho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
__SPR. . IN. G".liEt.LD itii........ - .... ..!....
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Vent Fan
Total Amount Paid
Initial Review
Planninl! Review
11/14/2003
11/14/2003
Public Works Review
11/14/2003
Structural Review
11/14/2003
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01125
ISSUED: 01126/2004
APPLIED: 11/06/2003
EXPIRES: 07/26/2004
VALUE: $ 138,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
138,000.00
Value
Date Calculated
$138,000.00
$138,000.00
01/16/2004
Total Value of Project
~
Amount Paid
$441.61
$18.60
$13.02
$60.00
$126.00
$10.00
$87.42
$61.19
$689.15
$12.00
$18.00
$140.00
$3.00
$12.00
$1,691.99
Date Paid
Receipt Number
1200200000000002459
1200400000000000072
1200400000000000072
1200400000000000072
1200400000000000072
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
1200400000000000103
11/13/03
1/20/04
1/20/04
1/20/04
1/20/04
1/26/04
1/26/04
1/26/04
1/26/04
1/26/04
1/26/04
1/26/04
1/26/04
1/26/04
I Plan Reviews I
APP LH
APP TAJ
11/21/2003
11/19/2003
12/08/2003
APP VRJ
As per an agreement entered into in
1979 between HAC SA and the City,
the City will need to initiate a
rezone. In the meantime, we will
allow the proposed ADA
modifications for this multi-family
development.
No change in existing plumbing
fixtures to existing duplex. No PW's
or SDC fees.
See Documejnts for plan review
comment.
APP DLM
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-01125
ISSUED: 01126/2004
APPLIED: 11/06/2003
EXPIRES: 07/26/2004
VALUE: $ 138,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired Insnections I
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Wall Insulation: Prior to cover.
3 Ceiling Insulation: Prior to cover.
4 Drywall: Prior to taping.
5 Firewall: Located and constructed according to plans.
6 Final Building: After all required inspections have been requested and approved and the building is complete.
7 Rough Plumbing: Prior to cover and including required testing.
8 Shower Pan. Prior to covering and including required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Rough Mechanical: Prior to Cover
11 Final Mechanical: When all mechanical work is complete.
12 Rough Electric: Prior to Cover
13 Electric Service: Approval required prior to utility company energizing service.
14 Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
~~;~7jM M\\WltOrl)~~~NAll~ ! - J0 -Or!
Owner or C \ntractors Signature
Date
Pa!!e 3 of 3
. 225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELEL_ .JCAL PERMIT APPLICATION
City Job Number(oMZc(~3'-. 0 t, 2:).-
3. CONWLETEFEESCHEDULEBELOW
1. LOCATION OF INSTALLATION A
IS,,, ~/S!1J ~!A..I.:!r'
LEGAL DESCRIPTION
I 7D3. 2b3 Z.
JOj3 DESCRIPTION
M~~I
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
003CG
Items Cost SUIJl
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00
$ 19,00
$ 50.00
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
d~ I Installation, Alterations or
Electrical" Contractor ,~t1" E~~, 'd ..J::;.;e Relocation:
Address(J54S7 5#0".".", lJIC
City1)e.;r e,w t Phone 0It!.
Supervisor License Number J('J5-/..5'
Expiration Date ~j/~/O.t.:/
Constr Contr. Number /~ 'JI~ ?
.
~.,,/ // ~
". '~
Owners Name /lite-Sf
Address t II ))fr.-, i S<.ft7V~
,
Expiration Date 1/05'
I
Signature of Supervising Electrjcian
C. I~,. / A .A"'er
Ity c::Y\,u-cvv; '"
Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:y
'J \~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
:l. $ 63.00 /Z0
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. TemllOrary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
$50.00
$69.00
$100,00
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
, $43.00
Each Additional Circuit or with Service
or Feeder Permit 20 $ 3.00 be)
,E. Miscenaneo~ls,~~,~t~UM~~~~~t included)
,.-&qqn~l1~a1AAw~~;' ; ~ y' ;"",;1",
....,0N,..OJ~l'lW~p'f,1;rri~atio~'.;) . '. ')~~~ $50.00
~,-,('\';:N t ~".). '.. .,~,:";ii'i~C'r;{.n.H ."l'~' ;"t':;~l('.t'.: '.\:~,(A.v"J;"do.'
f\\ ~ \'" . 0, f;'{),CY/;)l~~li,~Ume, >eft~';'d'"" ,\ $50,00
. ,,' ~\~ "'t~ >r, .',. ,""C ''ff'{ "rJ~
!',~W(]\J\! ,,,"" ."r},{t;(h:;iI1)jt~d~tl(ftgyil)<CS'(;1; ;(U>" $25.00
','Y/ t.....Jr:<(~ ~p.."? ,/~~':\~\,,~ \..'" .,( ,<, t5'i.. hI;. ~" Ain~ _
.: ;\~i'1~CGIit1"J~}' ";~&lm.lt~d,.En.ergyrco.Uc~S;:~\Y' ' $4),00
\u ,0 ,,~,,'~ ;:~',:.}:.f':'::~;;;.0)" (;:~\C1 ~:;'~~~1\c~ii.\nn ,
"fC;~. 't..fnIIUlU1f...EAc....c.. t. r..i\:,. fw.:n~1t fry,sn"ection Fecis 545.00 + Surchargcs
f,tr~~",) ,*i"-'/" _,.' '\\, ;",..,"~ ;-'~ \ ' f).,~);J~,']~ ..
~~~~~~;~~'~~u~f~~~t~8i~~~;~ I <?b
':~lJ:;"\"') f'1o/~'Statc Surcharge /5 t;;; 2-
8% Administrative Fee ) gc,O
1 Z-f 7 ~~
TOTAL
:15 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
Payments:
Type of Payment
CreditCard
Paid By
BLAID KIDD
Reccipt#: 1200400000000000072
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Received By
djb
Check Number
Batch Number Authorization Number
000279 020765
City of Springfield official Receipt
Development Services Department
Public Works Department
Date: 01/20/2004
9:04:53AM
Amount Paid
Item Total:
13.02
18.60
126.00
60.00
$217.62
How Received
In Person
Payment Total:
Amount Paid
$217.62
$217.62
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
COM2003-01125
Payments:
Type of Payment
Check
Reccipt#: 1200400000000000103
Description
Fixture
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum! Adjustment Mechanical
~Mechanica1 Issuance Fee~
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Received By
dIm
Check Number
Batch Number Authorization Number
Paid By
JEFFERY DANIEL DESSLER
2365
City of Springfidd Official Receipt
Development Services Department
Public Works Department
Date: 01126/2004
9:59:05AM
Amount Paid
Item Total:
140.00
12.00
18.00
12.00
3.00
10.00
61.19
87.42
689.15
$1,032.76
How Received
In Person
Payment Total:
Amount Paid
$1,032.76
$1,032.76